Article
Obstetrics & Gynecology
Caitlin R. Sacha, Roisin Mortimer, Eduardo Hariton, Kaitlyn James, Afrooz Hosseini, Morgan Gray, Chengluan Xuan, Karissa Hammer, Allison Lange, Shruthi Mahalingaiah, Jingping Wang, John C. Petrozza
Summary: The study compared the effects of preoperative IV acetaminophen versus PO acetaminophen or placebo on postoperative pain scores and discharge time in women undergoing oocyte retrieval. There were no significant differences in pain scores or discharge time among the groups. IV acetaminophen did not reduce postoperative pain or shorten discharge time compared to PO acetaminophen or placebo.
FERTILITY AND STERILITY
(2022)
Article
Nutrition & Dietetics
Dante Xing, Choongsung Yoo, Drew Gonzalez, Victoria Jenkins, Kay Nottingham, Broderick Dickerson, Megan Leonard, Joungbo Ko, Mark Faries, Wesley Kephart, Martin Purpura, Ralf Jaeger, Shawn D. Wells, Ryan Sowinski, Christopher J. Rasmussen, Richard B. Kreider
Summary: The study investigated the effects of varying doses of PXN on cognitive function and side effects, finding that acute ingestion of 100 mg and 200 mg of PXN may affect measures of cognition, memory, reasoning, and response time. Additionally, daily ingestion of PXN for 7 days was not associated with any clinically significant side effects, suggesting PXN may serve as an effective nootropic agent at doses as low as 50 mg.
Article
Surgery
Wiremu S. MacFater, Weisi Xia, Ahmed W. H. Barazanchi, Nicholas J. Lightfoot, Maree Weston, Darren Svirskis, Andrew G. Hill
Summary: Effective pain management during the perioperative period is crucial for improving patient experience and satisfaction following surgery. This study compared the use of intravenous and intraperitoneal infusions of lidocaine for postoperative pain management in patients undergoing laparoscopic colon resection. The results showed that the intraperitoneal group had significantly lower opioid consumption compared to the intravenous group. This suggests that targeting the peritoneal cavity with local anesthetic administration is an important component of a multimodal pain strategy following colectomy.
Article
Orthopedics
Qiuru Wang, Wanli Zhang, Tingting Xiao, Liying Wang, Ting Ma, Pengde Kang
Summary: This study evaluated the efficacy of preemptive opioids for pain management in patients who underwent total knee arthroplasty (TKA). The results showed that preemptive opioid administration did not provide clinical benefits over placebo. Orthopaedic surgeons should consider not using pre-operative opioids in patients undergoing TKA.
JOURNAL OF ARTHROPLASTY
(2023)
Article
Clinical Neurology
Christa Walgaard, Bart C. Jacobs, Hester F. Lingsma, Ewout W. Steyerberg, Bianca van den Berg, Alexandra Y. Doets, Sonja E. Leonhard, Christine Verboon, Ruth Huizinga, Judith Drenthen, Samuel Arends, Ilona Kleine Budde, Ruud P. Kleyweg, Krista Kuitwaard, Marjon F. G. van der Meulen, Johnny P. A. Samijn, Frederique H. Vermeij, Jan B. M. Kuks, Gert W. van Dijk, Paul W. Wirtz, Filip Eftimov, Anneke J. van der Kooi, Marcel P. J. Garssen, Cees J. Gijsbers, Maarten C. de Rijk, Leo H. Visser, Roderik J. Blom, Wim H. J. P. Linssen, Elly L. van der Kooi, Jan J. G. M. Verschuuren, Rinske van Koningsveld, Rita J. G. Dieks, H. Job Gilhuis, Korne Jellema, Taco C. van der Ree, Henriette M. E. Bienfait, Catharina G. Faber, Harry Lovenich, Baziel G. M. van Engelen, Rutger J. Groen, Ingemar S. J. Merkies, Bob W. van Oosten, W. Ludo van der Pol, Willem D. M. van der Meulen, Umesh A. Badrising, Martijn Stevens, Albert-Jan J. Breukelman, Casper P. Zwetsloot, Maaike M. van der Graaff, Marielle Wohlgemuth, Richard A. C. Hughes, David R. Cornblath, Pieter A. van Doorn
Summary: The study indicates that a second intravenous immunoglobulin course is not effective for Guillain-Barre syndrome patients with a poor prognosis, and may lead to serious adverse events. Therefore, it should be avoided in the treatment of Guillain-Barre syndrome.
Article
Anesthesiology
Neil Singla, Todd Bertoch, Srinivas Shenoy, Sagar Munjal
Summary: The analgesic efficacy and safety of DFN-15, a new oral liquid formulation of celecoxib, were evaluated in the treatment of acute pain in adult patients after dental surgery. The study showed that DFN-15 was superior to placebo in reducing pain intensity, providing pain relief, increasing treatment satisfaction, and reducing the use of rescue medication, without apparent dose-related effects.
Article
Pharmacology & Pharmacy
C. Angthong, S. Manuwong, V Singh, P. Rajbhandari, A. Veljkovic
Summary: Although perioperative administration of parecoxib did not significantly improve postoperative pain control or reduce opioid requirements compared to placebo, its use was associated with a shorter hospital stay.
EUROPEAN REVIEW FOR MEDICAL AND PHARMACOLOGICAL SCIENCES
(2021)
Article
Food Science & Technology
Samuel A. Goldlust, Mojgan Kavoosi, Jennifer Nezzer, Mehran Kavoosi, Walter Korz, Kenneth Deck
Summary: The study found that tetrodotoxin (TTX) may have potential efficacy in treating chemotherapy-induced neuropathic pain (CINP). Although there was no significant difference in average Numeric Pain Rating Scale (NPRS) scores, the 30 μg twice daily TTX cohort showed significant differences from the placebo group in some secondary quality of life (QOL) indicators. Adverse events were mostly mild to moderate, with oral paresthesia and hypoesthesia being the most common.
Article
Critical Care Medicine
Leila N. Atmowihardjo, Job R. Schippers, Erik Duijvelaar, Imke H. Bartelink, Pierre M. Bet, Noortje E. L. Swart, Nienke van Rein, Keith Purdy, David Cavalla, Andrew McElroy, Sarah Fritchley, Anton Vonk Noordegraaf, Henrik Endeman, Patricia van Velzen, Matty Koopmans, Harm Jan Bogaard, Leo Heunks, Nicole Juffermans, Marcus J. Schultz, Pieter R. Tuinman, Lieuwe D. J. Bos, Jurjan Aman
Summary: Intravenous imatinib did not reduce pulmonary edema or improve clinical outcomes in invasively ventilated COVID-19 patients. However, imatinib reduced pulmonary edema in a subgroup of patients, highlighting the potential value of predictive enrichment in ARDS trials.
Article
Respiratory System
Manoj Kumar Panigrahi, Ananda Datta, Sourin Bhuniya, Shakti Kumar Bal, Prasanta Raghab Mohapatra
Summary: This study assessed the role of dextromethorphan premedication in relieving cough during flexible bronchoscopy in adults. The results showed that at the end of the procedure, patients in the dextromethorphan group had significantly lower cough scores compared to the placebo group. However, there were no significant differences between the two groups in cough scores and discomfort scores at 1 hour later.
Article
Anesthesiology
Hao Guo, Tingting Ao, Jiagao Wang, Xi Zhang, Junwei Zheng, Yun Xiao, Rui Xue, Prakash Kalika, Ran Ran
Summary: Perioperative dexmedetomidine combined with lidocaine infusion can effectively relieve postoperative pain and improve recovery in patients undergoing thyroidectomy.
CLINICAL JOURNAL OF PAIN
(2022)
Article
Respiratory System
Carlo Salvarani, Marco Massari, Massimo Costantini, Domenico Franco Merlo, Gabriella Lucia Mariani, Pierluigi Viale, Stefano Nava, Giovanni Guaraldi, Giovanni Dolci, Luca Boni, Luisa Savoldi, Paolo Bruzzi, Caterina Turra, Mariagrazia Catanoso, Anna Maria Marata, Chiara Barbieri, Annamaria Valcavi, Francesca Franzoni, Silvio Cavuto, Giorgio Mazzi, Romina Corsini, Fabio Trapani, Alessandro Bartoloni, Emanuela Barisione, Giulia Jole Burastero, Angelo Pan, Walter Inojosa, Raffaele Scala, Cecilia Burattini, Fabrizio Luppi, Mauro Codeluppi, Kamal Eldin Tarek, Giovanni Cenderello, Mario Salio, Giuseppe Foti, Roberto Dongilli, Gianluigi Bajocchi, Emanuele Alberto Negri, Giacomo Ciusa, Giacomo Fornaro, Ilaria Bassi, Lorenzo Zammarchi, Teresita Aloe, Nicola Facciolongo
Summary: This study evaluated the efficacy and safety of pulse intravenous methylprednisolone in COVID-19 pneumonia patients, and found no significant benefit compared to standard treatment. There were no significant differences in hospital discharge time, survival rates, or overall mortality between the two groups, indicating limited effectiveness of pulse methylprednisolone therapy in treating COVID-19 pneumonia.
EUROPEAN RESPIRATORY JOURNAL
(2022)
Article
Clinical Neurology
C. Louapre, M. Rosenzwajg, M. Golse, A. Roux, F. Pitoiset, L. Adda, N. Tchitchek, C. Papeix, E. Maillart, A. Ungureanu, F. Charbonnier-Beaupel, D. Galanaud, J. C. Corvol, E. Vicaut, C. Lubetzki, D. Klatzmann
Summary: The effect of low-dose interleukin-2 (IL2(LD)) treatment on regulatory T cells (Tregs) in multiple sclerosis (MS) patients was modest and delayed, compared to other autoimmune diseases. Larger studies with increased dosages and/or modified modalities of administration are needed.
JOURNAL OF NEUROLOGY
(2023)
Article
Anesthesiology
Cedar Fowler, Amy W. W. Chu, Nan Guo, Jessica R. Ansari, Steven L. Shafer, Pamela D. Flood
Summary: Most women who undergo cesarean delivery recover without complications. However, severe postoperative pain within the first few days is associated with increased risk of prolonged pain and opioid use. This study evaluated the effectiveness of outpatient treatment with gabapentin to facilitate opioid cessation in women with severe early onset pain after cesarean delivery.
ANESTHESIA AND ANALGESIA
(2023)
Article
Immunology
Ying Zhao, Rulan Griesel, Zaayid Omar, Bryony Simmons, Andrew Hill, Gert van Zyl, Claire Keene, Gary Maartens, Graeme Meintjes
Summary: This study evaluated the need for an initial dolutegravir dose adjustment in adults switching from first-line TEE treatment to TLD. The results showed that in patients with unsuppressed HIV-1 RNA levels and substantial baseline resistance to nucleoside reverse transcriptase inhibitors, a high proportion achieved virologic suppression without the need for an initial dolutegravir dose adjustment.
CLINICAL INFECTIOUS DISEASES
(2023)
Article
Obstetrics & Gynecology
Katherine A. Herbert, Mary Yurashevich, Matthew Fuller, Christina D. Pedro, Ashraf S. Habib
Summary: Optimizing the choice, route, and timing of postoperative multimodal analgesic regimen components can significantly reduce the need for and dose of rescue opioid medications in women undergoing cesarean delivery.
JOURNAL OF MATERNAL-FETAL & NEONATAL MEDICINE
(2022)
Article
Anesthesiology
Katherine A. Herbert, Luke A. Gatta, Matthew Fuller, Chad A. Grotegut, Jennifer Gilner, Ashraf S. Habib
Summary: This study retrospectively analyzed the anesthetic management and outcomes of placenta accreta spectrum (PAS) cases at our institution over a 19 year period. It was found that neuraxial anesthesia is the most commonly used technique for PAS cases in our practice, and the double catheter technique was associated with lower conversion rates to general anesthesia compared to the CSE technique in our cohort.
JOURNAL OF CLINICAL ANESTHESIA
(2022)
Article
Obstetrics & Gynecology
Luke A. Gatta, Jeremy M. Weber, Jennifer B. Gilner, Paula S. Lee, Chad A. Grotegut, Katherine A. Herbert, Mustafa Bashir, Carl F. Pieper, James Ronald, Waleska Pabon-Ramos, Ashraf S. Habib, Kyle C. Strickland, Angeles Alvarez Secord, Andra H. James
Summary: This study compares the use of a multidisciplinary algorithm, including P-UAE and selective use of delayed hysterectomy, in the treatment of patients with placenta accreta spectrum (PAS) to patients treated without the algorithm. The algorithm was found to be associated with a lower rate of blood transfusion in scheduled cases.
AMERICAN JOURNAL OF PERINATOLOGY
(2022)
Review
Anesthesiology
Sierra C. Mims, Hon Sen Tan, Katherine Sun, Trung Pham, Samantha Rubright, Samantha J. Kaplan, Ashraf S. Habib
Summary: The study found that unintentional dural puncture (UDP) and postdural puncture headache (PDPH) are associated with an increased risk of chronic headache, backache, neckache, and depression. Epidural blood patch (EBP) does not significantly reduce the risk of these morbidities.
JOURNAL OF CLINICAL ANESTHESIA
(2022)
Article
Medicine, General & Internal
Isabel Rodriguez, Paige McKeithan Cisa, Karen Monuszko, Julia Salinaro, Ashraf S. Habib, J. Eric Jelovsek, Laura J. Havrilesky, Brittany Davidson
Summary: This study developed and validated a model for predicting outpatient opioid use following a range of gynecological surgical procedures. The model incorporates seven predictors and provides individualized estimates of opioid use. The model's performance was evaluated using ordinal concordance and Brier score.
Letter
Anesthesiology
Hon Sen Tan, Ashraf S. Habib
Article
Anesthesiology
G. T. Palleschi, M. Gerasimov, M. J. Blitz, J. L. Aronsohn, L. Shore-Lesserson, A. Ruggiero, G. Lim, A. S. Habib
Summary: This retrospective study evaluated the occurrence of respiratory depression after neuraxial morphine administration in post-cesarean delivery patients. The results indicate that clinically significant respiratory depression is rare among patients receiving neuraxial morphine for post-cesarean delivery analgesia.
INTERNATIONAL JOURNAL OF OBSTETRIC ANESTHESIA
(2022)
Article
Anesthesiology
H. S. Tan, J. K. Plichta, A. Kong, C. W. Tan, S. Hwang, R. Sultana, M. C. Wright, A. T. H. Sia, B. L. Sng, A. S. Habib
Summary: Identifying factors associated with persistent pain after breast cancer surgery may facilitate risk stratification and individualised management. In this multicenter study, a predictive model was developed from a sample of Asian and American women. The independent risk factors for persistent pain after surgery were found to be age, diabetes, pre-operative pain score at sites other than the breast, previous mastitis, and perceived stress scale.
Article
Anesthesiology
Jennifer E. Dominguez, Chad A. Grotegut, Mary Cooter Wright, Ashraf S. Habib
Summary: This study aimed to evaluate whether pregnant women with chronic hypertension (cHTN) are more susceptible to obstructive sleep apnea (OSA) compared to normotensive pregnant women matched for body mass index (BMI) and gestational age. The study found that pregnant women with cHTN are more likely to have OSA and may experience more severe symptoms.
ANESTHESIA AND ANALGESIA
(2023)
Letter
Anesthesiology
H. S. Tan, M. C. Wright, B. L. Sng, A. S. Habib
Review
Pharmacology & Pharmacy
Tricia A. Meyer, Ashraf S. Habib, Deborah Wagner, Tong J. Gan
Summary: Despite the availability of multiple types of antiemetics, postoperative nausea and vomiting (PONV) remains a significant issue for patients. Enhanced recovery protocols and PONV management guidelines now focus on assessing individual patient risk and using antiemetics to prevent PONV. The neurokinin-1 receptor (NK1R) has emerged as a therapeutic target for PONV management, and this review discusses its role, as well as the pharmacologic properties of NK1R antagonists (NK1RAs) and their clinical evidence for PONV prophylaxis.
Article
Pharmacology & Pharmacy
Andrew Padilla, Ashraf S. Habib
Summary: Post-operative nausea and vomiting (PONV) affects a significant percentage of surgical patients, and neurokinin-1 receptor antagonists, such as aprepitant, have shown promise in preventing PONV with high efficacy and fewer side effects compared to other antiemetics.
EXPERT REVIEW OF CLINICAL PHARMACOLOGY
(2023)
Article
Obstetrics & Gynecology
Hon Sen Tan, Ashraf S. Habib
Summary: Obesity in women is a global issue with significant healthcare and socioeconomic consequences. It is associated with numerous comorbidities and poses peri-operative challenges. Early multidisciplinary planning is crucial in addressing peri-operative and clinical issues, especially for obese parturients who are at high risk. Antenatal anaesthetic consultation and collaboration within the multidisciplinary team are essential for improving maternal and neonatal safety.
BEST PRACTICE & RESEARCH CLINICAL OBSTETRICS & GYNAECOLOGY
(2023)
Article
Anesthesiology
Mary Yurashevich, Mary Cooter Wright, Sierra C. Sims, Hon Sen Tan, Miles Berger, Ru-Rong Ji, Ashraf S. Habib
Summary: This study aims to compare inflammatory marker levels between patients with persistent pain and/or postpartum depression (PPD) and those without. The study shows the feasibility of collecting plasma and cerebrospinal fluid samples during Cesarean delivery.
CANADIAN JOURNAL OF ANESTHESIA-JOURNAL CANADIEN D ANESTHESIE
(2023)
Meeting Abstract
Obstetrics & Gynecology
Malavika Prabhu, Gianna Wilkie, Mark MacEachern, Dana LaBuda, Jasmine Purtell, Laura Riley, Ashraf Habib, Melissa Bauer
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY
(2022)